Post-Surgery Erectile Issues: Complications After Penile Lengthening - Urology

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Post-surgery erectile issues, particularly after procedures like penile lengthening, can be a source of significant concern for many patients. Your experience of having undergone a penile lengthening surgery, which involved cutting the suspensory ligament and performing a Y-shaped flap closure, is not uncommon. However, the complications you are experiencing, such as loss of sensation in the skin, hardness, discoloration, and difficulties with erectile length, warrant careful consideration and follow-up.

Firstly, it’s important to understand that surgical procedures involving the penis can lead to a variety of complications. These may include nerve damage, scarring, and changes in blood flow, all of which can affect erectile function. The area you described as hard and discolored may indicate a few possibilities, including edema (swelling), hematoma (a localized collection of blood outside of blood vessels), or even fibrosis (the thickening and scarring of connective tissue). The fact that this area has not improved over two months raises concerns that should be addressed.

Your surgeon's suggestion of heat therapy and massage is a common initial approach to manage swelling and promote healing. However, if there has been no improvement in sensation or the physical characteristics of the skin, it may be time to seek further evaluation. Persistent hardness and discoloration could indicate that the tissue is not healing properly, which might lead to complications such as penile curvature or erectile dysfunction due to the formation of scar tissue.

In terms of erectile function, the inability to achieve the desired length during an erection can be frustrating and may be linked to the surgical technique used, the healing process, or the psychological impact of the surgery itself. It’s crucial to have an open dialogue with your surgeon about your concerns. They may recommend imaging studies, such as an ultrasound, to assess blood flow and tissue integrity, or they may refer you to a specialist in sexual medicine or urology for further evaluation.

Additionally, it’s essential to consider the psychological aspects of recovery. Many patients experience anxiety or depression following surgeries that alter their body image or sexual function. Engaging in counseling or therapy can be beneficial in addressing these feelings and improving your overall well-being.

In summary, while some post-surgical complications can resolve with time and conservative management, the persistence of your symptoms after two months suggests that further medical evaluation is warranted. Do not hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your health and quality of life are paramount, and it’s important to advocate for yourself in the recovery process.